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This is VAERS ID 290265

Case Details

VAERS ID: 290265 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-05-08
Onset:2007-05-21
   Days after vaccination:13
Submitted: 2007-09-10
   Days after onset:112
Entered: 2007-09-11
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK RA / -

Administered by: Other       Purchased by: Other
Symptoms: Abortion induced, Drug exposure during pregnancy, Inappropriate schedule of drug administration, Urine human chorionic gonadotropin positive
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Pregnancy
Allergies:
Diagnostic Lab Data: urine beta-human 05/21/07 posit
CDC Split Type: WAES0705USA05455

Write-up: Information has been received from a Merck pregnancy registry for Gardasil via a nurse practitioner concerning a 17 year old female with a history of 1 pregnancy and 1 live birth with drug reactions/allergies reported as none known who on 08-MAY-2007 was vaccinated with the first dose of Gardasil (lot #656372/0243U), 0.5 ml, IM in the left deltoid. On the same day, the patient received concomitant therapy which included HAVRIX in the right deltoid, Dtap in the right arm and Varivax in the right tricep. On 21-MAY-2007, the patient came to the office since she missed her period. A urine pregnancy test was performed with results positive for pregnancy. The patient''s last menstrual period (LMP) was 17-APR-2007 and expected delivery date was 22-JAN-2008. The nurse practitioner stated that the patient initially thought that she may want to obtain an abortion, but she changed her mind. This was the second pregnancy for the patient who had a 9 month old daughter. Follow-up information has been received from the nurse practitioner who reported that the patient elected to terminate the pregnancy at 12 weeks gestation. The patient''s decision was not related to any medical reason. Elected to terminate the pregnancy was considered to be an other important medical event. Additional information is not expected.


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